Consistently High Users of Medical Care Among the Elderly
Datos Bibliográficos
| ID | 9101019 |
|---|---|
| Autores | Donald K Freeborn (Kaiser Permanente Center for Health Research), Clyde R Pope (Kaiser Permanente Center for Health Research), John P Mullooly (Kaiser Permanente Center for Health Research), Bentson H Mcfarland (0000-0001-9149-5616, Kaiser Permanente Center for Health Research) |
| Año | 1990 |
| Volumen | 28 |
| Número | 6 |
| Páginas | 527-540 |
| Fecha de publicación | 1990-06-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199006000-00005 |
| PMID | 2355758 |
| OpenAlex | W2038521442 |
| Idioma | EN |
| Citas recibidas | 16 |
| Referencias citadas | 19 |
This study identified consistently high and low users of medical care services in a group of older HMO members continuously enrolled for six years. Consistently high users made up 26% of the sample, but accounted for more than 50% of total outpatient contacts and hospital admissions. Average ambulatory care costs were more than four times greater for the high users compared with the low users. Consistently high users were older than consistently low users, but did not differ significantly in other sociodemographic characteristics. Compared with the low users, the high users reported more total medical conditions and were more likely to indicate they had arthritis, high blood pressure, heart conditions, and other chronic problems. They perceived themselves to be in poorer health and reported higher levels of psychologic distress. The low users tended to be less satisfied, but the two user groups were not significantly different regarding use of services outside the HMO
Ambulatory · Ambulatory care · Distress · Family medicine · Health care · Medical care · Clinical Psychology · Healthcare Policy and Management · Internal Medicine · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Gerontology
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Relationship of anxiety, depression and alcohol use disorders to persistent high utilization and potentially problematic under-utilization of primary medical care
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The Manitoba Longitudinal Study on Aging
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| Obras citantes distintas | 16 |
|---|---|
| Citas por año | 0,46 |
| Intervalo de citas | 1991 - 2014 (24) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 15 |